PUBLIC SPA MANUAL FOR OPERATORS

Transcription

1 PUBLIC SPA MANUAL FOR OPERATORS Revised July 2014

2 Table of Contents Introduction... 3 Role of the Public Health Inspector... 4 Role of the Operator... 4 Designation of Trained Operator... 5 Requirement to Notify the Health Unit When a Public Spa is Opening or Re-opening... 5 Public Health Concerns... 6 Skin Infections... 6 Respiratory Illness... 6 Enteric Communicable Diseases... 7 Preventative Measures to Control Infectious Organisms... 8 Required Spa Water Chemical Levels... 8 Fecal Accident Response... 9 Formed Stool... 9 Diarrhea... 9 Water Contamination Blood Vomit Body Fluid Spills on Spa Surfaces Clean Up Using Bleach Solution Safety Devices Safety Equipment Other Emergency Equipment Required Signs Timing Device Emergency Telephone Emergency Stop Caution Shower Important Math Calculations Maximum Bather Load Turnover Period Make-up Water Operational Records and Inspection Tests and Inspections Chart Water Treatment (Water Balance) Oxidation Reduction Potential (ORP) When to Close the Spa Chemical Safety First Aid Kit Contents Checklist Appendices Spa Maintenance Record Opening Inspection Request Form Simcoe Muskoka District Health Unit

3 Introduction Public spas have been implicated in fatal or near fatal injuries and waterborne illnesses such as Legionnaire disease and Pseudomonas aeruginosa skin infection. The safe operation of a public spa can be challenging because of low water volumes, high water temperatures and heavy bather loads. The purpose of this guide is to help owners and operators comply with the requirements set out in Ontario Regulation 428/05 (Public Spas) under the Health Protection and Promotion Act, RSO 1990 and to help operators understand their role in preventing injury and disease. Compliance with this guide does not exempt operators from their regulatory responsibilities. Ontario Regulation 428/05 Public Spas can be found on line at Our website also has links to this site, and has forms and posters that you can download. Please note that changes or alterations to your spa or operational equipment may require a permit from your municipal building department. Call your building inspector before you make changes. If you need technical advice on the operation and maintenance of your spa please consult a spa contractor. 3 Simcoe Muskoka District Health Unit

4 Role of Public Health Inspector Improperly maintained pools and spas can allow the spread of diseasecausing organisms among users. The goal of the public health inspector is to reduce or eliminate the incidence of these illnesses. Compliance with the regulation and good practice is key to reaching this goal. More than 100 spas operate throughout Simcoe Muskoka. Public health inspectors visit these facilities during operation with additional inspections as needed. Public Health Inspectors in Ontario have the duty and authority to inspect public spas at least two (2) times per year and no less than once every three (3) months to ensure compliance with Ontario Regulation 428/05 Public Spas. Inspectors are there to ensure operators maintain public pools and spas in a safe and sanitary manner. In addition, you may contact your inspector at any time to discuss regulatory requirements. You do not need to consult your inspector before closing your pool or spa if a potential health hazard exists. It is better to be safe than sorry. The Health Protection and Promotion Act provides the authority under which enforcement measures can be taken if conditions are found that are or may be hazardous to users. Enforcement measures may include closure of the spa until hazards are eliminated. Role of the Operator Owners and operators are legally responsible for ensuring that spas are operated and maintained in accordance with provincial requirements. Not doing so exposes bathers to unnecessary risk of waterborne illness or life threatening injury. Every operator must ensure that the filtration system and the chemical feeders are in continuous operation without regard for the daily use period except during: maintenance or repairs that require the filtration system or chemical feeders to be stopped; draining of the public spa; backwashing of filters, or times when the public spa is closed. 4 Simcoe Muskoka District Health Unit

5 Operators can consult with their inspector at any time. Spa operators may close a spa whenever hazardous conditions are found and need not wait for an inspector. Designation of Trained Operator Every spa owner must designate an operator who is trained in public spa operation and maintenance, filtration systems, water chemistry and all relevant safety and emergency procedures. There are numerous courses available to instruct operators about spa operation and spa chemistry. Requirement to Notify the Health Unit When a Public Spa is Opening or Re-opening Before a public spa is put into use after construction or alteration, the owner or operator must notify the Simcoe Muskoka District Health Unit in writing of: the building permit number issued for the construction or alteration of the spa; whether or not all the preparations necessary to operate the spa in accordance with the Regulation have been completed; the date that the spa is intended to be opened or reopened for use, and; the owner and / or operator s name and address. Before a public spa is put back into use after being closed (without any alteration) for more than four (4) weeks duration, the owner and / or operator must notify the Simcoe Muskoka District Health Unit in writing of: the date that the spa is intended to be reopened for use, and the owner and/or operator s name and address See Opening Inspection Request Form 5 Simcoe Muskoka District Health Unit

6 Public Health Concerns Poor spa operation and maintenance, as well as inappropriate use by bathers can result in disease transmission. Spas have a small volume of water along with a high temperature that can cause disinfectant to dissipate rapidly. Disinfectant levels in spas need to be checked and adjusted every hour because once the disinfectant is gone, the health problems can begin. Adequate disinfectant levels are essential to user safety but so is personal behaviour. Spa water contains dirt, human body oils, and micro-organisms. Bathers may dip their head under the surface of spa water, swallow the water or enter the spa when ill with diarrhea. In the absence of enough disinfectant, spa water can support the survival of disease-causing organisms. Skin Infections Skin infections are normally not transmitted if correct disinfectant levels are maintained at all times in spa water. Dermatitis from Pseudomonas is a common infection spread through spas if disinfectant levels are not maintained. Pseudomonas is a bacterium that prefers to live in slimy biofilm. It grows and multiplies between 4 C and 45 C and at ph between 4.5 and 8.5. Spa water is an ideal home for these bacteria. Infection occurs when hot spa water causes the skin pores to dilate. Bacteria enter the skin, then reproduce and excrete a toxin which causes an allergic reaction. Rashes develop 2 to 14 days after exposure and the rash may last about 8 days. Eventually our bodies recover as the immune system eliminates the bacteria and the skin heals. The good news is that this bacterium is readily killed by disinfectants, so Pseudomonas is a problem only when an operator fails to maintain sufficient disinfectant residual in the spa. Respiratory Ilnesses Colds, sinusitis, septic sore throat and Legionellosis are diseases that can lead to respiratory infections. Legionellosis is the most serious of these and will be discussed briefly here. Legionella pneumophila is a bacterium that is widespread in the natural and man-made water environment and outbreaks have occurred worldwide. The bacterium grows at warm temperatures (32 C - 41 C) and becomes established in biofilm like Pseudomonas does. 6 Simcoe Muskoka District Health Unit

7 Legionella can survive in spa water that has less than 1 ppm free available chlorine (FAC). It will migrate from the biofilm into the spa water and when the spa jets generate bubbles containing the bacteria, the bubbles burst into the breathing area of users and the bacterium is inhaled into the lungs. The disease can be severe or even fatal. People who have weak or diseased lungs, especially smokers are most at risk from Legionellosis. There has never been a documented outbreak of Legionellosis in spas when disinfectant levels were correctly maintained. Enteric Communicable Diseases Giardia, Cryptosporidium, E.coli and Shigella are some of the more common organisms that can cause serious recreational waterborne illnesses if people swallow water from an untreated spa that has been contaminated with fecal matter. Diarrhea can be caused by many types of bacteria. It can last from a few days to weeks. Knowing this, we should make every effort to educate users not to enter a spa if they have experienced episodes of diarrhea within the last two weeks. Users should always shower before entering a spa. This can remove bacteria and parasites on the body before they end up in the spa water. Diarrheal diseases such as E.col infection, Shigellosis and Norovirus infection can be controlled easily by proper disinfectant levels. The chart below shows the time needed to kill some common organisms at three different concentrations of (FAC). Organism at 1ppm FAC at 3ppm FAC at 20ppm FAC E. coli 1 min.03 min.05 min Hepatitis A 16 min 5 min 0.8 min Giardia 45 min 15 min 2.2 min Cryptosporidium 6.7 days 53 hours 8 hours 7 Simcoe Muskoka District Health Unit

8 Cryptosporidium is a parasite highly resistant to chlorine and can survive a normal spa environment for a long time. This parasite can cause dehydration and severe illness requiring medical care. An infected person can continue to excrete cysts for several weeks after symptoms have resolved. The cysts can survive outside the body and can remain infective for two to six months in a moist environment. A very important message to users would be to not swallow or spit the spa water. Often the public believes this water to be as safe as drinking from the tap. Preventative Measures to Control Infectious Organisms Maintain adequate disinfectant levels even when the spa is not in use Treat the water immediately after refilling the spa Maintain ph in the proper range Test chemistry, replace water as needed and keep the filter clean The table below outlines the chemistry requirements for spa water to ensure that adequate disinfection levels are achieved to kill microorganisms that may cause recreational water illnesses. Required Spa Water Chemical Levels Chemical Test Required Level Free available chlorine mg/l (ppm) Bromine mg/l (ppm) ph Total alkalinity Minimum of 80 mg/l (ppm) Cyanuric acid (outdoor spa No greater than 150 mg/l (ppm) uncovered) milligrams per litre (mg/l) = parts per million (ppm) NOTE: Every owner and / or operator shall ensure that cyanurate stabilizer is NOT added to a public spa if the spa and its deck are totally or partially covered by a roof. It is important to ensure that ph, total alkalinity, and cyanuric acid levels are within required ranges, as the ability of chlorine / bromine to disinfect spa water decreases when the levels of these chemicals are too high or too low. 8 Simcoe Muskoka District Health Unit

9 Fecal Accident Response A diarrheal accident is a higher risk event than a formed stool accident. Diarrhea can contain hundreds of millions of infectious bacteria that quickly spread throughout the spa in a single fecal accident. Other users then acquire infection through ingestion of the water or just by contact, particularly with eyes, ears or other mucous membranes. It is important to stress to users that they are not to enter the spa if they are ill with diarrhea or have had diarrhea in the last 14 days. Staff should ensure that users shower prior to entering the spa. Formed Stool or Vomitus Evacuate bathers and close the spa Shut off recirculation system and chemical feed system Remove waste with a scoop and discard into a toilet Clean and sanitize scoop with 50 ppm bleach solution Bring disinfectant residual in spa water to 10 mg/l Restart recirculation and chemical feed systems and run for 15 minutes Adjust disinfectant residual so it is between 5 and 10 mg/l Check all operational requirements and adjust where necessary Reopen spa Document incident on Spa Maintenance Record. Diarrhea Evacuate bathers and close the spa Shut off recirculation system and chemical feed system Remove as much of waste as possible Backwash filters Drain the spa Steam clean spa and deck surfaces or sanitize with 500 mg/l FAC solution Refill and circulate spa with 50 mg/l FAC for 3.5 hrs (see chart for Cryptosporidium kill times.) Reopen spa when all pool chemistry meets regulatory requirements Document incident on Spa Maintenance Record. 9 Simcoe Muskoka District Health Unit

10 Water Contamination Blood Coming in contact with blood in spa water is unlikely to spread illness. Bacteria and viruses found in blood, including HIV, do not survive long in a properly balanced spa. Patrons do not, however, always clearly understand the risk involved and operators are encouraged to close the spa for a short period of time to retest chemical disinfectant levels and to allay patrons concerns. Vomit Vomiting is common when swimmers ingest too much water. Although people don t swim in a spa, vomiting can be a symptom of another illness or of prolonged exposure to heat. Public health risks associated with vomitus are usually from Norovirus as this virus family is highly contagious. As a guideline, if the full stomach contents are vomited into a spa we recommend you follow the procedure for formed stool or vomitus. Body Fluid Spills on Spa or Deck Surfaces Body fluids including blood, feces and vomit are all considered potentially contaminated with harmful bacteria. Spills of these fluids on the spa deck or in change rooms or bathrooms should be cleaned up and the contaminated surfaces disinfected immediately. Regular sanitizing of change room floors and showers will also control the fungus responsible for athlete s foot. Clean Up Using Bleach Solution Bleach Solution: 1 part household bleach 9 parts cool water add bleach to water and mix gently Close access to area until cleanup and disinfection is completed. Wear disposable gloves. Wipe spills using paper towels or other absorbent material and place in garbage bag. 10 Simcoe Muskoka District Health Unit

11 Gently pour bleach solution onto surface to be disinfected. Leave this solution in place for 20 minutes. Wipe up the remaining bleach solution. Mops, scrub brushes, etc., that are not disposable should be immersed in bleach solution and air dried. Remove gloves after disposing of garbage and wash hands with soap and water. 11 Simcoe Muskoka District Health Unit

12 Safety Devices The requirements set out in the Regulation around safety devices and equipment is intended to prevent injuries and conditions that may lead to accidents. For example, limiting temperature of the spa water to 40 C is important for preventing the body s core temperature from rising too high. When our body s core temperature rises symptoms may include dizziness, drowsiness, increases in blood pressure and fainting. Pregnant woman, children and people with medical conditions should not enter a spa without prior consultation with a physician. Timing Devices The timing device requirement is also set to a 15 minute limit to avoid elevated core body temperatures because the bather may not notice the temperature rise while in the warm water. Long exposure to these temperatures may cause a bather to lose the ability to exit the spa or to lose consciousness with a risk of drowning. Suction System Controls Suction system controls such as a vacuum release system and a vacuum limit system are vital in preventing entrapment. The importance of testing these devices cannot be overstated. NOTE: Entrapment hazards related to suction systems include; hair entrapment, limb and body entrapment, mechanical entrapment and evisceration of the bowel. The Ontario Chief Coroner made a number of safety recommendations for public spas in response to the tragic entrapment death of a youth in a public spa. The intent of this section of the regulations is to prevent future entrapment deaths. The operator must be knowledgeable in the operation of suction pumps and the mechanics of Safety Vacuum Release Systems (SVRS) and capable of testing and calibrating these devices if applicable. Public health inspectors will ask,, the operator to perform this test at every compliance inspection and will examine the record log book to ensure the testing has been documented at minimum once per month while in operation. If the SVRS system fails this testing or if the operator cannot perform the test the spa may be ordered closed. Emergency Telephone Time is critical when an emergency does occur in a spa, so a nearby operating telephone is essential. It is the responsibility of every owner to ensure there is a land line Emergency Telephone, located within 30 metres of the spa that 12 Simcoe Muskoka District Health Unit

13 connects directly to an emergency service (not 911, as it is required to be tested daily) or the local telephone utility. NOTE: As cellular and mobile telephones can be easily moved away from the designated location and may experience reception or power charge problems at any time, a cellular or mobile telephone cannot be used as an Emergency Telephone at a public spa. The following methods are acceptable to determine if the Emergency Telephone is operational: 1. If the phone is connected directly to a private security system, the spa operator must allow the telephone to connect through and talk personto-person with the individual monitoring the telephone line. 2. If the phone is connected to the local telephone utility and the 911 service would be used, the spa operator must dial and connect through to an outside local number other than the 911 service. 3. If the phone is connected through to another internal extension, such as the front desk of a hotel or health club, there must be some mechanism in place at the other extension to alert the person receiving the call that it is an emergency call from the spa telephone. Emergency Stop Button The emergency stop button is required to quickly shut down pumps to prevent entrapment and to sound the alarm for assistance if there is an emergency. These alarms and signals must be seen and heard by operators without delay so that prompt emergency action is taken. The location of these devices is to be assessed by each operator and relocated if necessary to ensure that it can be seen and heard. Other Illness and injury prevention should be as high a priority as water chemistry. If you have any one of the following conditions present you have a problem with the spa: Slime Foam Odours Difficulty maintaining sanitizer levels Cloudy water Persistent user complaints 13 Simcoe Muskoka District Health Unit

14 Safety Equipment Emergency Stop Button Emergency Telephone First Aid Kit Ground Fault Detector Upper Limit Cut- Off Switch Timing Device Vacuum Relief Mechanism Clock Steps (optional) Deactivates all spa pumps Is separate from the spa s timing device Activates both visible and audible alarms The alarms must be placed in occupied areas where operators can respond immediately Tested once a month and recorded A land line Within 30 metres of the public spa Connects directly: a) to an emergency service or b) the local telephone utility Tested each day before opening and recorded See attached list Tested daily before opening and recorded Limits the maximum temperature of the spa water to 40 C Independent of the spa s water temperature thermostat Controls the operation of the jet pump Can be set to a maximum of 15 minutes Requires a bather to exit the spa to reset it Must have one or more of the following: A vacuum release system A vacuum limit system Another engineered system designed, constructed and installed to conform to good engineering practice appropriate to the circumstances Tested once a month and recorded Operator must successfully demonstrate activation of the vacuum release mechanism to the inspector at each inspection Located so that it can be seen and read from within the spa Equipped with a handrail Non-slip surface A band of contrasting colour on side and top edges 14 Simcoe Muskoka District Health Unit

15 Other Emergency Equipment If the spa has a diameter or width of more than 3 metres the operator must also provide: Reaching Pole 3.65 metres long, electrically insulated Available on deck Buoyant Throwing Rope to be 6 millimetres in diameter Aid Rope length to be 3 metres + half the width of the spa Available on deck Spine Board To be in good condition Available on deck Deck Markings DEEP AREA and SHALLOW AREA at their respective locations in figures at least 10 cm high 15 Simcoe Muskoka District Health Unit

16 Required Signs 1. Timing Device The timing device must be identified with letters 25 millimeters or higher that states: TIMING DEVICE 2. Emergency Telephone A sign (letters 25 millimeters or higher) must be posted near the entrance to the public spa that gives the location of the emergency phone. The following information must be posted at the emergency phone: Name of the Spa: Address of Spa: Location of Spa: 4. In Caution House (section Emergency 18) Number: EMERGENCY TELEPHONE DIAL 911 for emergency resuscitation, medical and fire services 3. Emergency Stop The following sign (letters 25 millimeters or higher) must be posted above the emergency stop button: IN THE EVENT OF AN EMERGENCY PUSH EMERGENCY STOP BUTTON AND USE EMERGENCY PHONE. AN AUDIBLE AND VISIBLE SIGNAL WILL ACTIVATE. 4. Caution Sign The following notice must be posted at each entrance to the spa with the word CAUTION in letters not less than 50 millimetres high and all other lettering not less than 10 millimetres high: CAUTION Children under the age of 12 are not allowed in the spa unless supervised by a person who is 16 years of age or older. 16 Simcoe Muskoka District Health Unit

17 Pregnant women and persons with known health or medical conditions should consult with a physician before using a spa. Do not use the spa if you have an open sore or rash, or are experiencing nausea, vomiting or diarrhea. Overexposure may cause fainting. 10 to 15 minutes may be excessive for some individuals. Cool down periodically and leave the spa if nausea or dizziness occurs. Enter and exit the spa slowly, to prevent slipping. Do not play or swim near drains or suction devices. Your body, body parts, hair, jewelry and other objects may become trapped and cause injury or drowning. People with long hair should be especially careful. Do not enter or remain in a spa if a drain cover or suction fitting is loose, broken or missing. Immediately notify the spa operator. No food or beverage except water is permitted within the deck or spa. No glass containers of any kind are permitted within the deck or spa. Maximum bather load of spa is. 5. Shower Sign The following notice (letters 25 millimeters or higher) is to be posted at every entrance to the spa deck: NOTICE Every bather shall take a shower, using warm water and soap and thoroughly rinse off all soap before entering the deck. 17 Simcoe Muskoka District Health Unit

18 Important Math Calculations Maximum Bather Load The maximum bather load is the lower number of: a) bather load identified by manufacturer of spa or, b) one person per square metre of surface water. Calculating Bather Load: Determine the shape of the spa a) Square or rectangular: Length of spa = metres Width of spa= metres Length metres Width metres = square metres DIAMETER b) Circle: Diameter of spa = metres Diameter metres 2 = Radius metres 3.14 (pi) Radius metres Radius metres = square metres For example, if there are 7.4 square metres of water surface, the permitted bather load would be Simcoe Muskoka District Health Unit

19 Turnover Period Turnover period is the time required for the total volume of water to be filtered, disinfected and returned to the spa once. The spa volume must be turned over several times each day for a spa to operate safely. 1) Determine the volume. a) If Square / rectangular: Length = metres Width = metres Depth = metres Length Width Depth = Volume of spa = metres metres metres = cubic metres (m 3 ) b) If Circular: Diameter = metres Radius (½ diameter ) = metres DIAMETER 3.14 radius radius depth = Volume of spa 3.14 metres metres metres = m 3 DEPTH 2) Determine what the flow meter reading must be. When the volume (as calculated above) a) Is more than 6m 3 Flow meter reading = volume in m litres/m 3 30 minutes OR = m litres/m 3 30 = litres/minute (L/m or Lpm) 19 Simcoe Muskoka District Health Unit

20 b) Is between 4m 3 and 6m 3 Flow meter reading = volume in m litres/m 3 20 minutes OR = m litres/m 3 20 = litres/minute (L/m or Lpm) c) Is less than 4m 3 Flow meter reading = volume in m litres/m 3 15 minutes = m litres/m 3 15 = litres/minute (L/m or Lpm) The flow meter reading is measured by a flow meter. The reading calculated above must match the actual reading on the spa s flow meter. This ensures that the turnover period is achieved. For example, if the calculated flow meter reading is 105 l/m then the flow meter must read at least105 l/m. Make-Up Water The Regulation requires that water be added to a spa each day to make-up for the water lost to bather activity and to evaporation. If the volume of the public spa is 4,000 litres of water or more add at least 30 litres of make-up water for each bather each day add no more than 20% of the total spa volume each day a meter that measures make-up water volume is required 20 Simcoe Muskoka District Health Unit

21 Calculate the spa Water Replacement Interval (WRI) If the volume of the public spa is 4,000 litres of water or less WRI = Volume of spa in litres = number days between total 10 Number of Uses* * if one person used a public spa three times in a day, the number of uses would be 3. Example: If the spa volume =3000 litres and the estimated number of uses each day = 60 then 3000 = 3000 = 5 (then round up to whole #) 10 x therefore the tub must be drained every 5 days. 21 Simcoe Muskoka District Health Unit

22 Operational Records and Inspection Spa operators are required to conduct routine checks of equipment and chemicals at a prescribed frequency and to document these checks. These documents make up the operational record, are important to overall maintenance plans and may be supportive documents for the facility in the event of an accident or injury that results in legal action. It isn t enough to just record chemistry test readings or equipment breakdown if nothing is done in response. The operator must have training and have written procedures in place to deal with emergencies as well as routine matters. Remember to: Record all inspections and tests on a daily log. Sign the records. Keep your records for a minimum of one year and have them available for review by a public health inspector. 22 Simcoe Muskoka District Health Unit

23 Tests and Inspections Chart When Tests and Inspections Requirement Daily: ½ hour before Free Available Chlorine 5-10 mg/l opening and every hour while open (FAC) OR total bromine Total Alkalinity 80 mg/l minimum ph Water Temperature Not to exceed 40 C Clarity Must be able to see the lowest water outlet drain Daily: ½ hour before Oxidation Reduction 700 mv minimum opening and once more during the day Potential (ORP) sensor reading (if used) Daily: ½ hour before opening Ground Fault Detector Also when test is conducted Emergency Telephone Also when test is conducted Daily before closing Make-Up Water (when applicable) Record make-up water meter reading Each day Number of uses Estimate for the day Safety equipment including first aid box Must contain required supplies As they occur Chemicals added Record details including When spa drained, inspected and refilled Equipment breakdowns Emergencies and rescues the time Record details in logbook Weekly Cyanuric Acid Maximum 150 mg/l Each Month Suction Outlets (Drain covers/skimmer lids) Safety Vacuum Release Mechanism Emergency Stop Button Must be secure and operational Must be operational Must be operational 23 Simcoe Muskoka District Health Unit

24 Water Treatment (Water Balance) In order for the sanitizer (chlorine or bromine) to efficiently destroy harmful organisms, the spa water must be in proper balance. Proper balance means that the ph level, total alkalinity, calcium hardness, temperature and total dissolved solids must be kept at levels that ensure water is neither corrosive nor scale-forming. To ensure proper balance maintain the ranges outlined in Sections 6(1) to 6(4) of Regulation 428/05 as summarized below: 24 Simcoe Muskoka District Health Unit

25 Oxidation Reduction Potential (ORP) An ORP reading on an automatic sensing device of a spa is an indicator of the sanitizer s (chlorine or bromine) ability to destroy harmful organisms such as bacteria and viruses. ORP is measured in millivolts (mv). The ORP value is affected by both the ph (hydrogen ion concentration) and the amount of cyanuric acid in spa water. As the amount of cyanuric acid increases, the effectiveness of chlorine/bromine decreases resulting in a corresponding reduction in the ORP reading. Similarly, as ph increases there will be a corresponding reduction in the ORP reading. However, as ph decreases the production of hypochlorous acid increases which increases the ORP reading. Maintaining PH and cyanuric acid levels within proper ranges will assist performance of the ORP. The accuracy of an ORP reading is also dependent upon proper installation and maintenance of measuring equipment. The electrodes (probes) that measure ORP are designed to operate with a set volume of water flowing past them. Probes must be kept clean and free of any deposits to give accurate ORP readings. Further information on the proper maintenance of such equipment can be obtained from the manufacturer. It is important to remember that ORP is a measure of the disinfectant capability of the water. FAC (chlorine) and total bromine readings measure quantity of disinfectant chemicals in the water. A substantial difference between the ORP reading and the manual chemical test likely means that the ORP device requires maintenance. 25 Simcoe Muskoka District Health Unit

26 Close the spa when: Emergency stop button is not working Audible and visible alarm is absent or inoperative Safety vacuum release system is not working Emergency phone is not working Water heater upper-limit cut off switch is absent or inoperative Ground Fault Detector is not working Insufficient free available chlorine or bromine in the water Circulation/Filtration system is not working Spa is fouled Drain cover is missing or not secured 26 Simcoe Muskoka District Health Unit

27 Chemical Safety Train staff on the importance of handling chemicals safely. Follow manufacturer s recommendations. Store spa chemicals in a cool, dry and well-ventilated space. Keep corrosive materials such as acids and combustibles (i.e., paper and rags) away from other chemicals. Keep all chemicals away from hot equipment and flame. Have personal protective gear available (gloves, respirators, apron, etc.,) Material safety data sheets to be made available to employees for every chemical in use. Do not eat, drink or smoke in the chemical storage area. Ensure the chemical storage room is inaccessible to unauthorized persons. Handle chemicals with clean and dry scoops only. Each chemical should have its own scoop. Use scoops provided by the manufacturer. Keep containers closed when chemicals are not in use. Never re-use empty chlorine containers for storage of other chemicals and never mix contaminated chemicals with your fresh supply. When mixing chemicals, add them slowly. NEVER ADD WATER TO THE CHEMICALS, ALWAYS ADD THE CHEMICAL TO THE WATER. NOTE: A hazardous situation can be created when chemicals come into contact with small amounts of water, heat or flames, or due to improper mixing or contamination. Chemicals for spa use that are not stored safely can result in fires, toxic vapours or other incidents. Ensure manufacturers instructions are followed when storing and handling chemicals. Ensure that personnel have proper training, personal protective equipment is available (gloves, respirators, apron, etc) and that Material Safety Data Sheets (MSDS) for all chemicals that are used are located on site. Do not eat, drink or smoke in the chemical storage area. 27 Simcoe Muskoka District Health Unit

28 First Aid Kit Contents Checklist A current copy of the St. John Ambulance or Red Cross First Aid Manual 12 safety pins 24 adhesive dressings, individually wrapped 12 sterile gauze pads each 7.5 cm square 4 rolls of gauze bandages 5 cm in width 4 rolls of gauze bandages 10 cm in width 4 sterile surgical pads, individually wrapped 6 triangular bandages 2 rolls of splint padding 1 roll-up splint 1 pair of scissors 2 pairs of non-permeable gloves 1 resuscitation pocket mask 28 Simcoe Muskoka District Health Unit

29 Emergency stop button Suction outlets Vacuum Release Mechanism Spa Maintenance Record Year: Monthly Name of operator Free Available Chlorine (FAC) (5-10 mg/l) Bromine (5-10 mg/l) ph (Levels ) Total Alkalinity (Minimum 80mg/L) Water Temperature (Maximum 40 C/104 F) Water Clarity ORP reading (700mV) 1/2 hour before opening, + once again during operating day Ground Fault Detector (1/2 hour before opening) Emergency telephone (1/2 hour before opening) Makeup water reading (when applicable) Estimated number of uses First Aid kit / safety equipment Cyanuric acid (less than 150 mg/l outdoor only) Day Time 1/2 hour before opening, then every 1 hour Daily Weekly Day Time 1/2 hour before opening, then every 1 hour Daily Weekly Other (e.g. emergency rescue equipment failure; when spa drained, inspected and refilled) (Use back of form if necessary) Monthly

30 Pool or Spa Opening Inspection Request Dear Owner / Operator: Ontario Regulation 565/90 (Public Pools) and Ontario Regulation 428/05 (Public Spas) made under the Health Protection and Promotion Act require operators of public pools or spas to provide written notification to the medical officer of health of any opening or reopening if closed for more than four weeks. Prior to the opening inspection all equipment should be in place and operational, all tests performed and documented and all alterations or repairs completed. If you have questions, please call or and ask for the Health Unit office you wish to speak to. Please fill out the form below and mail or fax this letter to your local Health Unit office Please Print OPERATOR FACILITY Name: Telephone #: Class of Pool: Please circle one Mr. / Mrs. / Ms. POOL & SPA OPENING REQUEST First Name Last Name ( ) - Fax #: ( ) - Please circle one A or B Date Opening Inspection Requested: dd mm yy Planned Opening Date: dd mm yy Signature: